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Pharmacy Pricing

Quiz by Nicole Talarico

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6 questions
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  • Q1

    As more generic manufacturers enter the market to manufacture a specific drug, the AWP discount

     Increases

    Decreases 

    Stays the same

    Increases at first, but then decreases 

    30s
  • Q2

    What happens if another PBM classifies Single Source Generics as a Brand?

    The brand minimum discount guarantees will stay the same

    None of the above

    The brand minimum discount guarantees will be decreased

    The brand minimum discount guarantees will be inflated

    30s
  • Q3

    When it comes to repricing

    All of the above

    The broker/consultant should reprice the claims file with our enhanced discounts

    You should be aware that when a broker/consultant asks for a claims file, it is because they are conducting a market check or looking at competitors. Also be sure to ask the broker/consultant what time period they are using for the reprice 

    We should be offering to provide are priced claims file with current pricing

    30s
  • Q4

    What do we see other PBMs exclude from their 100% pass through rebate offer?

    Dispensing Fees  &  Over the Counter (OTC) and Limited Distribution Drugs (LDD)

    Manufacturer Admin Fees (MAF) & Price Protection

    30s
  • Q5

    The following are all questions you should ask a broker/consultant when they request a reprice except: 

    What type of formulary are they using

     How many members does the competitor have?

    Are single source generics counted as generics or brands?

    Is there an admin charge for vaccines or COVID testing products

    30s
  • Q6

    What do we see other PBMs exclude that would impact a rebate guarantee?

    Over the Counter (OTC) and Limited Distribution Drugs (LDD)

    Manufacturer Admin Fees (MAF)

    Price Protection

    Dispensing Fees

    30s

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